Individual
CORA WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 W CONGRESS PKWY, 735 JELKE ANESTHESIA DEPARTMENT, CHICAGO, IL 60612-3833
(312) 942-6504
(312) 942-5773
Mailing address
1653 W CONGRESS PKWY, 735 JELKE ANESTHESIA DEPARTMENT, CHICAGO, IL 60612-3833
(312) 942-6504
(312) 942-5773
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036092434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092434
—
IL
Enumeration date
09/13/2006
Last updated
07/09/2007
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